Counselling in Sutton Coldfield

Photo of Shakeera Poyner (Was Price), Counsellor, MSc, MBACP Accred
Shakeera Poyner (Was Price)
Counsellor, MSc, MBACP Accred
Well done for taking the first step to accessing support and alleviating some of the distress you are feeling. This is very often the hardest step and almost always the most daunting one but I hope that reading my profile encourages you to take the next step and begin your therapeutic journey. I have over 17 years experience in helping adults and young people to overcome anxiety, build self- esteem and confidence, fight depression and low mood and achieve healthy relationships. I specialise in working with people who experience intense or overwhelming emotions that can act as an obstacle to them living the life they want to live.
Well done for taking the first step to accessing support and alleviating some of the distress you are feeling. This is very often the hardest step and almost always the most daunting one but I hope that reading my profile encourages you to take the next step and begin your therapeutic journey. I have over 17 years experience in helping adults and young people to overcome anxiety, build self- esteem and confidence, fight depression and low mood and achieve healthy relationships. I specialise in working with people who experience intense or overwhelming emotions that can act as an obstacle to them living the life they want to live.
07449 518383 View 07449 518383
Photo of Sundeep Mann - Minds Matter , Psychotherapist, ACP
Minds Matter
Psychotherapist, ACP
1 Endorsed
Online Only
I am able to work with children, teenagers and parents and adults so my range is extensive. I can offer both short term and long term therapy. Sessions are weekly and will take place online via a platform that we will agree upon after an initial consultation. We will then review the work as we proceed to monitor progress.
I am able to work with children, teenagers and parents and adults so my range is extensive. I can offer both short term and long term therapy. Sessions are weekly and will take place online via a platform that we will agree upon after an initial consultation. We will then review the work as we proceed to monitor progress.
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Photo of Liz Roberts, Counsellor, DCounsPsych, MNCPS Acc.
Liz Roberts
Counsellor, DCounsPsych, MNCPS Acc.
At times life can be challenging and can sometimes feel overwhelming. Finding yourself looking at counsellors it seems you have already made the decision that things need to change. I understand how difficult this first step can be and the courage needed to take the plunge to make that call and ask for help. I can offer you a warm and caring space where you will be supported whilst you start to look at the issues that are troubling you and together we can unravel the emotions and confusion that is holding you back from living a happy and fulfilled life.
At times life can be challenging and can sometimes feel overwhelming. Finding yourself looking at counsellors it seems you have already made the decision that things need to change. I understand how difficult this first step can be and the courage needed to take the plunge to make that call and ask for help. I can offer you a warm and caring space where you will be supported whilst you start to look at the issues that are troubling you and together we can unravel the emotions and confusion that is holding you back from living a happy and fulfilled life.
0121 285 7684 View 0121 285 7684
Photo of Kay Dyer, Counsellor, MNCPS Acc.
Kay Dyer
Counsellor, MNCPS Acc.
1 Endorsed
I am a counsellor who has experience helping people with all kinds of issues and connecting with themselves, a hugely important relationship. Talking things through and really being listened to can help you figure things out, allowing YOU to feel better. I believe we are all complex individuals and YOU'RE thoughts and feelings are equally as important as anyone else's. YOU deserve to ' feel good on the inside'. Feel free to contact me to see if talking to me can help you.
I am a counsellor who has experience helping people with all kinds of issues and connecting with themselves, a hugely important relationship. Talking things through and really being listened to can help you figure things out, allowing YOU to feel better. I believe we are all complex individuals and YOU'RE thoughts and feelings are equally as important as anyone else's. YOU deserve to ' feel good on the inside'. Feel free to contact me to see if talking to me can help you.
0121 661 3975 View 0121 661 3975
Photo of Charlotte Laffan-Butler, Counsellor, MBACP Accred
Charlotte Laffan-Butler
Counsellor, MBACP Accred
My preferred name is Charlie and I am an Integrative Counsellor, which means I use different therapeutic models. I work with the understanding that each client is unique and it is my aim to appreciate their world from their perspective. I am particularly passionate about women's issues and offer a female only, neuro-affirmative counselling service.
My preferred name is Charlie and I am an Integrative Counsellor, which means I use different therapeutic models. I work with the understanding that each client is unique and it is my aim to appreciate their world from their perspective. I am particularly passionate about women's issues and offer a female only, neuro-affirmative counselling service.
0121 816 0230 View 0121 816 0230
Photo of Donna Clipstone, Counsellor, MNCPS Acc.
Donna Clipstone
Counsellor, MNCPS Acc.
I believe that everybody has the desire and the ability to live a fulfilled life. I provide a non-judgemental space in which you can share any problems, either past or present, that you wish to explore. Together we will work towards making positive changes, whether they be to your current circumstances or in your approach to life.
I believe that everybody has the desire and the ability to live a fulfilled life. I provide a non-judgemental space in which you can share any problems, either past or present, that you wish to explore. Together we will work towards making positive changes, whether they be to your current circumstances or in your approach to life.
0121 661 2850 View 0121 661 2850
Photo of Sunita Kaur, Counsellor, MNCPS Acc.
Sunita Kaur
Counsellor, MNCPS Acc.
1 Endorsed
As an accredited counsellor, I am passionate about supporting individuals through life’s challenges and guiding them toward personal growth. I believe that everyone has the potential to change and grow. Through our work together, I aim to empower you to gain insight into the underlying causes of your struggles, build healthier coping mechanisms, and develop a stronger sense of self. My goal is to help you unlock your inner strength, overcome obstacles, and move towards a life that is more fulfilling and aligned with your true values. If you feel ready to embark on this journey, I am here to support you every step of the way.
As an accredited counsellor, I am passionate about supporting individuals through life’s challenges and guiding them toward personal growth. I believe that everyone has the potential to change and grow. Through our work together, I aim to empower you to gain insight into the underlying causes of your struggles, build healthier coping mechanisms, and develop a stronger sense of self. My goal is to help you unlock your inner strength, overcome obstacles, and move towards a life that is more fulfilling and aligned with your true values. If you feel ready to embark on this journey, I am here to support you every step of the way.
01543 229548 View 01543 229548
Photo of Mark Hill - Keep Afloat Therapies, Psychotherapist, MSc, MBACP
Keep Afloat Therapies
Psychotherapist, MSc, MBACP
Online Only
My name is Mark and I am a registered member of the BACP who uses an approach that incorporates CBT (Cognitive Behavioural Therapy), Person Centred Therapy and Attachment Theory. I have a warm and empathic manner that puts you at the centre of your journey. I work with clients regardless of gender but in particular I have an ongoing and deep concern in regards to men's mental health, so if you are a man reading this, know that I stand shoulder to shoulder with you and be assured this is an action of strength. Whoever you are, know that I walk with you on this path of discovery helping you to see where your next step will land.
My name is Mark and I am a registered member of the BACP who uses an approach that incorporates CBT (Cognitive Behavioural Therapy), Person Centred Therapy and Attachment Theory. I have a warm and empathic manner that puts you at the centre of your journey. I work with clients regardless of gender but in particular I have an ongoing and deep concern in regards to men's mental health, so if you are a man reading this, know that I stand shoulder to shoulder with you and be assured this is an action of strength. Whoever you are, know that I walk with you on this path of discovery helping you to see where your next step will land.
01283 907094 View 01283 907094
Photo of Fiona Elizabeth Broderick - Collaborative Psychological Services, Psychologist, PsychD, HCPC - Clin. Psych.
Collaborative Psychological Services
Psychologist, PsychD, HCPC - Clin. Psych.
I am a passionate and caring therapist who has extensive experience of working with people in distress, from those reporting anxiety, depression and relational conflict, to those struggling with their body image, trauma and loss. In therapy we will explore your current difficulties and understand these in relation to your earlier life experiences. We will then work to develop healthier coping skills and focus on you achieving your goals in the shortest time period possible.
I am a passionate and caring therapist who has extensive experience of working with people in distress, from those reporting anxiety, depression and relational conflict, to those struggling with their body image, trauma and loss. In therapy we will explore your current difficulties and understand these in relation to your earlier life experiences. We will then work to develop healthier coping skills and focus on you achieving your goals in the shortest time period possible.
0121 816 0590 View 0121 816 0590
Photo of Dr Sarjan Grewal, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Sarjan Grewal
Psychologist, PsychD, HCPC - Clin. Psych.
Hi, I’m Sarj. I’m a Clinical Psychologist with over 10 years’ experience supporting people through difficult and often hidden struggles. It's not unusual to look like you’re holding it all together, while inside you feel very different. You might have an inner critic - thoughts that tell you you're not good enough. This may impact your self esteem, you may avoid things that were once important to you or keep yourself busy to block difficult emotions leaving you feeling exhausted. Often, these struggles have deeper roots. The ways we were responded to as children — whether soothed, criticised or ignored shape how we learn to cope.
Hi, I’m Sarj. I’m a Clinical Psychologist with over 10 years’ experience supporting people through difficult and often hidden struggles. It's not unusual to look like you’re holding it all together, while inside you feel very different. You might have an inner critic - thoughts that tell you you're not good enough. This may impact your self esteem, you may avoid things that were once important to you or keep yourself busy to block difficult emotions leaving you feeling exhausted. Often, these struggles have deeper roots. The ways we were responded to as children — whether soothed, criticised or ignored shape how we learn to cope.
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Photo of jordan Pinnock - Jordan Pinnock Consultancy, Psychotherapist, MBABCP
Jordan Pinnock Consultancy
Psychotherapist, MBABCP
2 Endorsed
Online Only
I am an accredited therapist with advanced training in occupational therapy and CBT. I specialise in treating anxiety, PTSD, phobias, trauma. In addition I offer assessment and post diagnostic support for neurodiversity (ADHD, Autism). Using evidence-based methods, I help individuals, couples, and families build resilience, find clarity, and regain control. My approach is supportive yet results-focused, offering practical strategies for lasting change. If you’re ready to find more clarity and take meaningful steps forward, I invite you to book an appointment and begin your path toward today.
I am an accredited therapist with advanced training in occupational therapy and CBT. I specialise in treating anxiety, PTSD, phobias, trauma. In addition I offer assessment and post diagnostic support for neurodiversity (ADHD, Autism). Using evidence-based methods, I help individuals, couples, and families build resilience, find clarity, and regain control. My approach is supportive yet results-focused, offering practical strategies for lasting change. If you’re ready to find more clarity and take meaningful steps forward, I invite you to book an appointment and begin your path toward today.
0121 809 5552 View 0121 809 5552
Photo of Sakhi Kaur, Counsellor
Sakhi Kaur
Counsellor
1 Endorsed
I have years of experience assisting individuals and families in navigating life's complexities and challenges. My areas of expertise include conflict, depression, trauma, and relationship issues. Whether you're seeking marriage guidance, dealing with family conflict, or looking for a safe space to lifes challenges and struggles. Look no further.
I have years of experience assisting individuals and families in navigating life's complexities and challenges. My areas of expertise include conflict, depression, trauma, and relationship issues. Whether you're seeking marriage guidance, dealing with family conflict, or looking for a safe space to lifes challenges and struggles. Look no further.
01543 223002 View 01543 223002
Photo of Katie Berry, Counsellor, MNCPS Acc.
Katie Berry
Counsellor, MNCPS Acc.
Hi, I’m Katie I’m a qualified and passionate integrative counsellor, committed to supporting people through life’s challenges so they can lead more fulfilling, meaningful lives. No two people are the same, so our sessions will always be shaped around you—your experiences, your pace, and what you want to explore. I understand from personal experience how overwhelming it can feel to find the right counsellor. Opening up can be daunting—but you’re not alone in feeling that way. That’s why I believe in taking the time to build a safe, welcoming space where you feel heard and supported.
Hi, I’m Katie I’m a qualified and passionate integrative counsellor, committed to supporting people through life’s challenges so they can lead more fulfilling, meaningful lives. No two people are the same, so our sessions will always be shaped around you—your experiences, your pace, and what you want to explore. I understand from personal experience how overwhelming it can feel to find the right counsellor. Opening up can be daunting—but you’re not alone in feeling that way. That’s why I believe in taking the time to build a safe, welcoming space where you feel heard and supported.
01543 398549 View 01543 398549
Photo of James Walsh, Psychotherapist, MA, MUKCP
James Walsh
Psychotherapist, MA, MUKCP
What if all of these symptoms and problems we experience are pointing to something more? Maybe there aren't any obvious symptoms that you can put your finger on.... maybe it's just a vague dissatisfaction with life, with how things are for you? Maybe there's a sense of feeling inhibited or restrained, or not quite able to be yourself? Or maybe life has thrown you some curveballs, or there has been a big loss or shift in your life that brings you to therapy? I hold the view that these symptoms and issues though painful, may actually be healthy signs that may be pointing us towards change, towards our growth.
What if all of these symptoms and problems we experience are pointing to something more? Maybe there aren't any obvious symptoms that you can put your finger on.... maybe it's just a vague dissatisfaction with life, with how things are for you? Maybe there's a sense of feeling inhibited or restrained, or not quite able to be yourself? Or maybe life has thrown you some curveballs, or there has been a big loss or shift in your life that brings you to therapy? I hold the view that these symptoms and issues though painful, may actually be healthy signs that may be pointing us towards change, towards our growth.
0121 817 7124 View 0121 817 7124
Photo of Claire Louise Thomas, Counsellor, MSc, MBACP
Claire Louise Thomas
Counsellor, MSc, MBACP
Online Only
I’m a qualified counsellor, psychotherapist, and clinical supervisor offering a warm, non-judgmental space to explore whatever’s bringing you to therapy or supervision. I work relationally, tailoring each session to your needs and goals. In therapy, I support you in understanding yourself with compassion. In supervision, we reflect together to deepen your practice and confidence. Regular reviews help ensure our work stays focused, supportive, and growthful. I offer a free initial session to explore whether working together feels right for you.
I’m a qualified counsellor, psychotherapist, and clinical supervisor offering a warm, non-judgmental space to explore whatever’s bringing you to therapy or supervision. I work relationally, tailoring each session to your needs and goals. In therapy, I support you in understanding yourself with compassion. In supervision, we reflect together to deepen your practice and confidence. Regular reviews help ensure our work stays focused, supportive, and growthful. I offer a free initial session to explore whether working together feels right for you.
01827 214725 View 01827 214725
Photo of Urooj Adnan - Urooj Adnan MSc, MBACP, GMBPsS ( Anxiety, Trauma ), Psychotherapist, MSc, MBACP
Urooj Adnan MSc, MBACP, GMBPsS ( Anxiety, Trauma )
Psychotherapist, MSc, MBACP
Online Only
I am a fully qualified & BACP registered psychotherapist, counsellor, and Applied psychologist with MSc in Counselling Psy (Aus), BSc (Hons) Applied Psy (UK) , BSc Psy. I have extensive experience providing compassionate support to people dealing with depression, anxiety, PTSD, chronic pain, domestic violence, social isolation/loneliness, stress/burnout, relationship issues & other mental health problems. I am particularly passionate about working with trauma survivors and helping them navigate through flashbacks, intrusive thoughts, fear, despair, anger, guilt, shame, and insomnia with a focus on building strength and resilience.
I am a fully qualified & BACP registered psychotherapist, counsellor, and Applied psychologist with MSc in Counselling Psy (Aus), BSc (Hons) Applied Psy (UK) , BSc Psy. I have extensive experience providing compassionate support to people dealing with depression, anxiety, PTSD, chronic pain, domestic violence, social isolation/loneliness, stress/burnout, relationship issues & other mental health problems. I am particularly passionate about working with trauma survivors and helping them navigate through flashbacks, intrusive thoughts, fear, despair, anger, guilt, shame, and insomnia with a focus on building strength and resilience.
01922 664613 View 01922 664613
Photo of Moira McGarvey, Psychotherapist, MBABCP
Moira McGarvey
Psychotherapist, MBABCP
1 Endorsed
Online Only
I am a highly compassionate and experienced CBT therapist who has recently retired from the NHS after 37 years service. I am a dually qualified general nurse and mental health nurse. I am a warm, down to earth therapist who is eager to gain a shared understanding of your presenting difficulties and how we can work together to alleviate suffering and aid recovery.
I am a highly compassionate and experienced CBT therapist who has recently retired from the NHS after 37 years service. I am a dually qualified general nurse and mental health nurse. I am a warm, down to earth therapist who is eager to gain a shared understanding of your presenting difficulties and how we can work together to alleviate suffering and aid recovery.
01675 623097 View 01675 623097
Photo of Lindsay Ewer, Counsellor, MA, MBACP
Lindsay Ewer
Counsellor, MA, MBACP
Online Only
The ideal client for a person-centered counselor feels stuck, lost, or overwhelmed, seeking clarity and personal growth. They may struggle with anxiety, low self-esteem, relationship issues, grief, or a sense of disconnection. They need a non-judgmental space to explore their feelings, understand themselves, and process emotions. Their goals include self-awareness, emotional regulation, healing, and authenticity. They want to feel seen, heard, and valued, gaining clarity and empowerment to live in alignment with their true self.
The ideal client for a person-centered counselor feels stuck, lost, or overwhelmed, seeking clarity and personal growth. They may struggle with anxiety, low self-esteem, relationship issues, grief, or a sense of disconnection. They need a non-judgmental space to explore their feelings, understand themselves, and process emotions. Their goals include self-awareness, emotional regulation, healing, and authenticity. They want to feel seen, heard, and valued, gaining clarity and empowerment to live in alignment with their true self.
01675 629076 View 01675 629076
Photo of Lisa Marie Pugh - Lisa Marie Therapy, Counsellor, BACP
Lisa Marie Therapy
Counsellor, BACP
1 Endorsed
Are you feeling overwhelmed and feel you have no one to talk to? Seeking out the services of a suitable therapist can be daunting. Perhaps you are currently undergoing a particularly stressful or distressing period in your life, struggling to cope with daily pressures at home or work, experiencing feelings of sadness or loss, relationship difficulties, or unforeseen changes in your personal circumstances. Maybe you are seeking help with a mental health issue such as anxiety or depression, aiming to find ways of better managing your condition and its impact on your everyday life. Whatever your reasons for seeking therapy, I’m here.
Are you feeling overwhelmed and feel you have no one to talk to? Seeking out the services of a suitable therapist can be daunting. Perhaps you are currently undergoing a particularly stressful or distressing period in your life, struggling to cope with daily pressures at home or work, experiencing feelings of sadness or loss, relationship difficulties, or unforeseen changes in your personal circumstances. Maybe you are seeking help with a mental health issue such as anxiety or depression, aiming to find ways of better managing your condition and its impact on your everyday life. Whatever your reasons for seeking therapy, I’m here.
0121 661 4322 View 0121 661 4322
Photo of Theresa Dubicka-Keen, Counsellor, MBACP
Theresa Dubicka-Keen
Counsellor, MBACP
Providing psychotherapy is my passion and I cover a wide range of issues namely- All Abuse, ADD / ADHD, Addictions, AIDS/HIV, Anger management, Anxiety, Asperger syndrome, Bereavement, Cancer, Child related issues, Chronic fatigue syndrome / ME, Cultural issues, Depression, Disability, Eating disorders, Health related issues, Identity issues, Infertility, Loss, Men's issues, Obsessions, OCD, Phobias, Post-traumatic stress, Pregnancy related issues, Redundancy, Relationships, Self esteem, Self-harm, Sex-related issues, Sexual identity, Sexuality, Spirituality, Stress, Trauma, Women's issues, Work related issues.
Providing psychotherapy is my passion and I cover a wide range of issues namely- All Abuse, ADD / ADHD, Addictions, AIDS/HIV, Anger management, Anxiety, Asperger syndrome, Bereavement, Cancer, Child related issues, Chronic fatigue syndrome / ME, Cultural issues, Depression, Disability, Eating disorders, Health related issues, Identity issues, Infertility, Loss, Men's issues, Obsessions, OCD, Phobias, Post-traumatic stress, Pregnancy related issues, Redundancy, Relationships, Self esteem, Self-harm, Sex-related issues, Sexual identity, Sexuality, Spirituality, Stress, Trauma, Women's issues, Work related issues.
01827 214705 View 01827 214705

See more therapy options for Sutton Coldfield

How does your Counsellor compare?

Number of Counsellors in Sutton Coldfield

70+

Average cost per session

£60

Counsellors in Sutton Coldfield who prioritize treating:

95% Anxiety
92% Self Esteem
89% Depression
87% Stress
82% Relationship Issues
72% Trauma and PTSD
71% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

73% Bupa
67% AXA PPP
63% Aviva

How Counsellors in Sutton Coldfield see their clients

78% In Person and Online
22% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Sutton Coldfield?

Search for nearby therapists or counsellors by inputting your city, postcode, or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or postcode into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

Counsellors and Psychotherapists listed in the directory are members of the main professional associations, mainly the British Association for Counselling and Psychotherapy (BACP) and the UK Council for Psychotherapy (UKCP). Most Psychologists in the directory are accredited members of the British Psychological Society (BPS) and/or are registered in the Health and Care Professions Council (HPCP).

Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given that professional memberships are not a statutory requirement for psychotherapists and counsellors in the UK, certain qualified professionals or organisations may choose not to maintain such memberships despite possessing the necessary qualifications. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counsellor?

Counsellors, psychotherapists and psychologists can all provide counselling or talking therapy and have credentials and experience that enable them to do so in the UK. Psychologists have earned a degree in psychology and many are members of the British Psychological Society (BPS) and have completed a postgraduate qualification in a specialism. Counsellors and Psychotherapists are not required to have a psychology degree, but to belong to a professional organisation such as the BACP or UKCP, they are required to have completed a training course as well as clinical and supervision hours.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the UK could be between £30 - £60 when seeing a counsellor and £60 - £150 and up when seeing a clinical psychologist. If you have private insurance, your plan may cover some if not all of your sessions. You should contact your insurance provider to determine if they provide coverage for therapy sessions and to determine what, if any, requirements they might have in order for your sessions to be covered, such as a referral from your GP or medical specialist.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

If you are struggling to access therapy due to budget constraints, you could also consider public funded mental health services. The NHS Talking therapies programme offers free of charge counselling for common mental health problems like anxiety and depression. The service is available to anyone registered with a GP, though you do not necessarily need to be referred by your GP and can refer yourself directly to a Talking therapies service. The service will provide different solutions, including group and individual therapy, for a limited number of sessions which are generally up to six.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your postcode.

Are therapy sessions confidential?

Therapists who are part of a professional organisation such as the BACP, the UKCP, or BPS are bound by an ethical framework that requires them to uphold a confidentiality agreement. Confidentiality is a crucial part of the therapeutic relationship and only under specific circumstances, such as when there has been participation in a criminal act or act of terror, or if there is potential or known harm to the client or others, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.